Actinic Keratosis

Actinic Keratosis: Symptoms, Causes, and Treatment Options

Actinic keratosis is a common skin condition that often develops after years of sun exposure, sometimes without any obvious warning signs. These rough or scaly patches can be easy to overlook, especially when they blend in with surrounding skin or appear in areas you don’t check often.

While actinic keratosis may seem minor at first, it’s important not to ignore changes in your skin. Early evaluation by a dermatologist can help determine whether a spot is harmless or requires treatment. At Tru-Skin Dermatology, we focus on identifying skin concerns early and creating personalized care plans to help protect your long-term skin health.

What Is Actinic Keratosis?

Actinic keratosis is a rough, scaly skin lesion caused by long-term exposure to ultraviolet (UV) radiation from the sun or tanning beds. It develops when cumulative sun damage leads to abnormal skin cell growth, most often in areas frequently exposed to sunlight. Actinic keratosis is considered a precancerous condition because these damaged cells have the potential to progress into skin cancer.

Although actinic keratosis is not skin cancer, some lesions can develop into squamous cell carcinoma if left untreated. Many people with this condition remain stable or respond well to treatment, while others may see lesions that change in size, texture, or sensitivity. Because it’s not possible to predict which lesions will progress, ongoing monitoring and early intervention are key to reducing risk. 

Preventing actinic keratosis starts with protecting your skin from UV damage. Apply a broad-spectrum sunscreen with an SPF of 30 or higher daily, wear protective clothing and hats when outdoors, seek shade during peak sun hours, and avoid tanning beds.

As discussed, regular skin checks are essential for early detection. Maintaining healthy habits, such as staying hydrated and limiting alcohol and tobacco use, can also support long-term skin health.

Early diagnosis of actinic keratosis is important for protecting long-term skin health. Routine skin exams at Tru-Skin Dermatology help identify actinic keratosis and other sun-related changes, including lesions that may not be obvious at first glance. Yearly exams allow dermatologists to monitor changes and determine when treatment is needed.

Diagnosis is typically made through a visual skin examination, sometimes using dermoscopy for a closer look. If a lesion appears thick, tender, bleeding, or unusual, a skin biopsy may be recommended to rule out squamous cell carcinoma. Biopsies are quick, in-office procedures designed to provide clear answers and guide appropriate care.

If you’ve been diagnosed with actinic keratosis, early and effective treatment is key to preventing progression and protecting your skin’s health. At Tru-Skin Dermatology, our experienced dermatologists offer a range of personalized treatment options designed to safely and effectively address the condition while prioritizing your comfort and long-term skin health.

Treatment options for actinic keratosis include:

• Cryotherapy for actinic keratosis: Uses liquid nitrogen to freeze and remove precancerous lesions quickly and precisely.
• Topical prescription creams: Medications such as 5-fluorouracil, imiquimod, diclofenac, or tirbanibulin target abnormal cells over several weeks.
• Photodynamic therapy (PDT): Combines a light-sensitive solution and light exposure to destroy affected cells.
• In-office procedures: Curettage, electrosurgery, or other minor procedures for thicker or stubborn lesions.

Choosing the right treatment depends on factors like the number and location of lesions, your skin type, lifestyle, and personal preferences. Our dermatologists work closely with you to create a customized plan that combines effectiveness with minimal downtime, ensuring your skin not only heals but also stays healthy and protected in the future.

It’s important to consult a dermatologist if you notice any changes in your skin, especially in areas frequently exposed to the sun. Early evaluation allows for timely diagnosis and treatment, reducing the risk of progression to more serious conditions.

You should schedule an appointment with a dermatologist at Tru-Skin if you notice:

• Lesions that don’t heal or keep coming back
  
• Changes in size, color, or texture of a skin spot
  
• Thickening, bleeding, or tenderness in a patch of skin
  
• New growths in sun-exposed areas
  
• A personal or family history of skin cancer

Your skin deserves expert care and attention. At Tru-Skin Dermatology, our specialists provide thorough evaluations and personalized treatment plans for actinic keratosis and other sun-related skin concerns. Don’t wait, schedule your appointment today to protect your skin, catch issues early, and maintain long-term skin health with confidence.